DR. STEPHEN LEIGH JOHNSTON DNP
NPI 1184107922
Nurse Practitioner - Family in Martinsburg, WV

Active since September 07, 2018PECOS EnrolledAccepts Medicare Assignment
1004 SUSHRUTA DR STE A, MARTINSBURG, WV 25401(304) 449-3778 Get Directions Write a Review

NPPES record last updated: September 7, 2018. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Stephen Leigh Johnston Dnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. STEPHEN LEIGH JOHNSTON DNP (NPI 1184107922) is an individual family provider in Martinsburg, West Virginia, licensed in West Virginia (APRN63221-FNP-BC) and active in the NPI registry since September 2018. He is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1184107922
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameDR. STEPHEN LEIGH JOHNSTONCredential: DNP
Location Address1004 SUSHRUTA DR STE AMartinsburg, WV 25401-8801
Mailing Address801 Engle Switch RdHarpers Ferry, WV 25425-5257 · (304) 240-7813
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateSeptember 7, 2018
✔ NPI 1184107922 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in WV · APRN63221-FNP-BC
1004 SUSHRUTA DR STE A, Martinsburg, WV 25401

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Stephen Leigh Johnston Dnp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1456605385
PECOS Enrollment IDI20181113001753
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Stephen Johnston reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Hospice and Palliative Medicine
330 HOSPICE LN
Kearneysville, WV 25430
  • Reassigned Medicare billing, West Virginia enrollment
  • 4 clinicians in this Medicare group
Internal Medicine
2000 EOFF ST
Wheeling, WV 26003
  • Reassigned Medicare billing, West Virginia enrollment
  • 193 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes 99350
An established patient home visit is a service where a healthcare professional visits a patient's home for a check-up or treatment. The visit typically lasts for about an hour. This service is especially beneficial for patients who may have difficulty traveling to a healthcare facility.
315 services99 patients
Residence visit for new patient with high level of medical decision making, per day, if using time, at least 75 minutes 99345
A new patient home visit is a comprehensive 75-minute appointment conducted at your home. The healthcare professional will assess your health, discuss any concerns, and create a personalized care plan. It's convenient, comfortable, and tailored to your specific needs.
91 services91 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 25401 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$83.49 typical visit price
range $53.20 – $164.59
Typical copayment $20.87 (range $13.30 – $41.14)
Most-billed visit code 99203
Established Patient
$94.81 typical visit price
range $16.47 – $133.29
Typical copayment $23.70 (range $4.11 – $33.32)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine
1004 SUSHRUTA DR STE A
MARTINSBURG, WV 25401

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Stephen Johnston's NPI number?

The NPI number for Stephen Johnston is 1184107922. It was assigned to this individual provider in the NPPES registry on September 7, 2018.

Where is Stephen Johnston located?

Stephen Johnston practices at 1004 Sushruta Dr Ste A, Martinsburg, WV 25401. The listed phone number is (304) 449-3778.

What is Stephen Johnston's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Stephen Johnston enrolled in Medicare?

Yes. Stephen Johnston is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Stephen Johnston's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Stephen Johnston reassigns Medicare benefits to 2 organizations: Hospice Of The Panhandle, Inc. (Kearneysville, WV) and Hospitalist Medicine Physicians Of West Virginia, PLLC (Wheeling, WV). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Stephen Johnston's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Stephen Johnston accept?

Health plans from Highmark Blue Cross Blue Shield West Virginia list Stephen Johnston as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Stephen Johnston was last updated on September 7, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.